By Angela Randels-Thorp, David Liss
Acid-Base and Electrolyte guide for Veterinary Technicians provides a simple to appreciate but entire method of acid-base and electrolyte balance.
- Covers the body structure of fluids and their impression on acid-base and electrolyte balance
- Offers distinct details on coping with acid-base and electrolyte derangements in disease
- Includes entry to a significant other web site with case experiences and a number of selection questions
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Extra info for Acid-base and electrolyte handbook for veterinary technicians
Nelson, R. , Delaney, S. , & Elliot D. A. (2009). Electrolyte imbalances. In: R. W. Nelson & C. G. Couto (eds), Small Animal Internal Medicine. St Louis, MO: Mosby Elsevier: 864–83. Robertson, G. L. (1983). Thirst and vasopressin function in normal and disordered states of water balance. Journal of Laboratory and Clinical Medicine 101(3): 351–71. , & Kurtz, A. (1995). Nitric oxide and prostaglandins are involved in the macula densa control of the renin system. American Journal of Physiology 269: 825–30.
The impermeant solute being excreted is done in exchange for sodium, causing sodium retention and hypernatremia develops. Clinical signs The clinical signs of hypernatremia depend on the severity and how quickly it developed. Neurologic signs occur as water moves out of the brain cells as a result of the increased sodium concentration, or osmolality, of the ECF. In cats and dogs, neurologic signs are generally not seen until plasma sodium exceeds 170 mEq/L (Hardy 1989). In acute cases of hypernatremia, neurologic signs develop as a result of dehydration of brain cells.
Fluid selection should be based on the corrected sodium level and an isotonic fluid containing sodium levels closest to the patient’s corrected sodium should be used. Nursing care/monitoring Nursing care should be aimed at monitoring the hydration and neurologic status of the patient as corrective treatments are initiated. Hydration and volume status should be monitored through regular assessment of respiratory rate, heart rate, pulse quality, skin turgor, mucous membrane color and moistness, capillary refill time (CRT), and blood pressure.
Acid-base and electrolyte handbook for veterinary technicians by Angela Randels-Thorp, David Liss